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General NPI Number Information
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NPI Number | 1285897967
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Entity Type | Individual
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Provider Name | KAREN L GELLADA MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 130 KYSOR DR
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City | BYRON
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State | IL
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Zip | 61010-9402
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Country | US
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Telephone | 309-672-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 130 KYSOR DR
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City | BYRON
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State | IL
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Zip | 61010-9402
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Country | US
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Telephone | 815-971-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-127497
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101961
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 101961
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 036-127497
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License Number State | IL
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